Youth Mentoring Consent Form | RESTRUCTURING LeadershipPalace

Parent / Guardian Consent Form for Individual Mentoring of a Minor

PARENT/GUARDIAN First name

Last name

MINOR CHILD'S First name

Last name

School currently attending

Date of Birth required

Siblings' names and ages

My child has permission to participate in Leadership Palace, LLC mentoring program.

Yes

Please specify anything we should know about your child

Initials

I declare that the info I’ve provided is accurate & complete

Mentoring is a collaborative learning relationship where a more experienced or more knowledgeable person, the mentor, offers support, insight, and wisdom to facilitate the growth and development of a less experienced or less knowledgeable person, the mentee. It provides an opportunity for a mentee to gain valuable experiences, guidance, and knowledge from someone who has walked the path before them. It involves skill development, personal and professional growth, networking opportunities, and the nurturing of potential.

The mentee will never be asked to disclose things that they do not feel comfortable discussing. However, a successful mentoring experience requires regular communication between the mentee and the mentor. If communication ceases between mentee and mentor for a period of three (months or 90 consecutive days), the mentorship will become inactive.

Thanks for submitting!

If you need to submit a new participation form, please email info@leadershipplace.com and someone will assist you.